Individual
MR. DANIEL ALLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
331 SIJAN AVENUE, WHITEMAN AFB, MO 65305-1269
(405) 626-0333
Mailing address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(405) 626-0333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
12/15/2021
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